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KMID : 0388420010110010099
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Konkuk Journal of Medical Sciences
2001 Volume.11 No. 1 p.99 ~ p.106
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A Clinical Study of Sudden Sensorineural Hearing Loss Associated with Increased Mycoplasma Passive Hemagglutinin Body Titer
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Lim Dae-Jun
Kim Bo-Hyung
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Abstract
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Background and Objectives : Mycoplasma pneumonia (MP) is a common etiological factor in variety of respiratory diseases. MP infection developing especially as a primary atypical pneumonia causes diverse complications involving other organs and tissues such as skin, mucosa, musculoskeletal, cardiovascular, gastrointestinal, urogenital and central nervous systems. In the auditory system, otitis externa, otitis media, and myringitis bullosa have been reported. Sensorineural hearing loss possibly caused by MP is infrequently reported. The purpose of this study was to investigate the clinical importance of mycoplasma passive hemagglutinin body titer.
Materials and Method : In patients of sudden sensorineural hearing loss who have increased mycoplasma passive hemagglutinin body titer, control group was treated with prednisolone alone, and experimental group was treated with prednisolone and roxithromycin. Both groups were compared with degree of hearing improvement by pure tone audiometry.
Results : Experimental group have a better hearing improvement than control group, but these difference was statistically not significant.
Conclusion : the reports of sudden sensorineural hearing loss caused by MP was extremely rare, but we suggest that the incidence was higher than previously reported, and if proper diagnosis could be done through the mycoplasma passive hemagglutinin body titer, the prognosis will be better.
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KEYWORD
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Mycoplasma passive hemagglutinin body titer, Sudden sensorineural hearing loss
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